Individual
MATTHEW RAY ROSSOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
890 OAK ST SE, SALEM, OR 97301-3905
(360) 968-9566
Mailing address
4495 PACIFICA WAY NE APT 201, SALEM, OR 97305-2887
(360) 968-9566
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
Primary
202212343RN
OR
Other
Enumeration date
07/06/2021
Last updated
09/18/2025
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